| Ms Melissa Marie Hale, PA-C | |
|
300 Carrera Dr, London, KY 40741-6303 | |
| (606) 657-2079 | |
| (818) 337-3798 |
| Full Name | Ms Melissa Marie Hale |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 300 Carrera Dr, London, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063640985 | NPI | - | NPPES |
| P01439783 | Other | KY | RR MEDICARE |
| PA1567 | Other | KY | MEDICAL LICENSE |
| 7100285080 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA1567 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Encore Wound Care - Kentucky, Llc | 2264874866 | 11 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Entity Name | Guardian Biologics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20231118000093 |
| Entity Name | Encore Wound Care - Kentucky, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346009040 PECOS PAC ID: 2264874866 Enrollment ID: O20240529000448 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Marie Hale, PA-C 87 Wildcat Ln, Corbin, KY 40701-8950 Ph: (606) 261-5344 | Ms Melissa Marie Hale, PA-C 300 Carrera Dr, London, KY 40741-6303 Ph: (606) 657-2079 |
Heather Dawn White, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 City Hill Dr, London, KY 40741 Phone: 606-877-2050 Fax: 606-877-2080 |
Skylar Hoskins, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 Hoskins Cemetery Rd, London, KY 40741 Phone: 606-224-8971 |
Jennifer Sizemore, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 W 5th St, London, KY 40741 Phone: 606-864-4040 Fax: 606-878-3500 |
Randall Mills, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 W 5th St, London, KY 40741 Phone: 606-864-4040 Fax: 606-878-3151 |
Brian Behrendt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 London Mountain View Dr, London, KY 40741 Phone: 606-864-0770 Fax: 606-864-1461 |
Mr. Christopher Lee White, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 803 Meyers Baker Rd, London, KY 40741 Phone: 606-878-3240 Fax: 606-878-4308 |
Mr. Mark Douglas Crawford Ii, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1288 Wyan Rd, London, KY 40744 Phone: 606-309-3250 |